一种协作跨学科的方法,用于触发指管理
Emma Yanko1, Chris Thomson2, Richard Bourassa3
1College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
概括
保守的管理,包括物理治疗和皮质类固醇注射,有效地治疗了大多数触发指病例,减少了对手术的需要. 这种方法提供了自我管理策略,可能降低复发率.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 物理疗法物理治疗
背景情况:
- 狭性紧神经炎,通常被称为触发指,是手部残疾的常见原因.
- 这项研究引入了一项管理方案,优先考虑保守的治疗方法,而不是触发指的立即手术咨询.
研究的目的:
- 为了评估一项对触发指的保守管理协议的有效性.
- 为了确定与需要手术干预或皮质类固醇注射相关的患者特征.
主要方法:
- 一个回顾性图表审查72名患有触发指的患者进行了手术,但最初是保守地管理的.
- 患者接受了物理治疗评估和治疗,随后的管理由协议决定.
- 分析包括描述性统计数据和对患者特征和治疗结果的比较.
主要成果:
- 在完成该方案的60名患者中,仅仅通过物理治疗,有22%的病例得到解决.
- 48.5%在物理治疗后通过1-2次皮质类固醇注射得到缓解.
- 12.5%的人被转诊进行手术咨询,在不同组的特征上没有显著差异.
结论:
- 跨学科的协议成功地保守地管理了大多数触发指病例.
- 这种方法确保及时获得基于证据的护理,包括必要时注射和手术.
- 物理治疗赋予患者自我管理技能,可能减少长期复发.
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